Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Conrad Collison, LCSW-C

Individual provider Clinical Social Worker · NPI 1447860143

Nicole Conrad Collison, LCSW-C is a Clinical Social Worker in Baltimore, Maryland. Qualified in 2010, 16 years ago. Practices with Tidemark Intervention Services, a 6-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
16
Licensed in
MD
In the registry since
2020
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Practice location Address checks out

7837 Harold Rd
Baltimore, MD 21222-3302
Phone: (410) 382-7312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16192 (MD)

Record details

NPI number1447860143
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedAugust 6, 2020
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Tidemark Intervention Services — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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